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Kentucky rates for HCPCS Q5106

Injection, epoetin alfa-epbx, biosimilar, (Retacrit) (for non-ESRD use), 1000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.85 / $236.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.85 / $9.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.89 / $9.26 / $15.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.85 / $7.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $8.64 / $12.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.24 / $12.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.85 / $11.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $9.33 / $12.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $8.74